cornea neovascularization and ghost vessels

[RedSHIFT]

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Hey! I have a question to all the Attendings that browse this forum.

If you had to estimate... what is the percentage of patients that wear soft contacts and develop cornea neovascularization.

If a patient switched to glasses, how long does it typically take for them to become ghost vessels?

Thanks!

 

[Shnurek]

I'll be a student starting next week BUT from my slight experience and my deductive capabilities I would think that since LASIK surgeons tell you not to wear contacts 2 weeks prior to having the surgery, I'd say that's how long it takes for them to develop into ghost vessels. Just my guess. And I also have corneal neo myself from CLs.

 

[itek2OD]

this might help.
http://emedicine.medscape.com/article/1195886-overview#a0199

http://emedicine.medscape.com/article/1195886-treatment

 

[PBEA]

Hey! I have a question to all the Attendings that browse this forum.

If you had to estimate... what is the percentage of patients that wear soft contacts and develop cornea neovascularization.

If a patient switched to glasses, how long does it typically take for them to become ghost vessels?

Thanks!

percentage? I'd say most develop some degree of neo

how long for ghosting? depends on the degree of neo

2 weeks for pre-lasik is pretty liberal IMO, but again most people have only a small degree of neo, whereas some have a higher degree (further encroachment, etc) and would require much longer for ghosting to occur. Lastly ghosting is often temporary, and will re-perfuse given the opportunity.